Selena Langbehn
Individual provider Active NPI Physical Therapist · Roswell, GA
NPI 1205503166 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1205503166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT012180 (GA)
- Practice address
- 550 Barrington Dr
Roswell, GA 30075-4412 - Phone
- (770) 872-6098
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012180 | GA | Yes |
Addresses
Primary practice location
550 Barrington Dr
Roswell, GA 30075-4412
Mailing address
4775 Hill CT NE
Roswell, GA 30075-4002
Other providers in Roswell, GA
- Lauteasha Lancaster
- Christopher Land
- Keenya S Land
- Glenn D. Lane
- Cynthia Anne Lang
- Valerie L Lanier
- Irit Lantzman
- Samantha Laratta
- Alayna Larsen
- Kristy Larsen
All providers in Roswell, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.